To amend title XI of the Social Security Act to increase transparency of certain health-related ownership information.

HR 3262 requires hospitals, physician practices (with over 25 doctors), ambulatory surgical centers, and independent emergency departments owned by private equity firms or other specific entities to report annual ownership changes, mergers, acquisitions, and financial details like debt levels and real estate activity to the Department of Health and Human Services by January 1, 2025, with updates each year. The bill mandates that the Secretary post annual public reports starting in 2027 showing ownership trends, consolidation patterns, and specific financial data for these entities. Non-compliance carries civil penalties of up to $5 million per violation. This bill directly affects healthcare providers owned by private equity, hospitals, and certain large medical practices by increasing transparency around ownership and financial structures.